Provider Demographics
NPI:1821063173
Name:HARTFIEL, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:HARTFIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 E CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1783
Mailing Address - Country:US
Mailing Address - Phone:517-279-8465
Mailing Address - Fax:517-279-8665
Practice Address - Street 1:2431 S M 30 STE 200
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-9367
Practice Address - Country:US
Practice Address - Phone:989-343-3762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5679207V00000X
NDPT10500207V00000X
MI4301077573207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN907402000Medicaid
MI0220119OtherBCBS OF MI
SD6201390Medicaid
ND14108Medicaid
MN907402000Medicaid
ND713121Medicare PIN